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Commentary Article - (2023) Volume 7, Issue 1

Guidelines for Primary Stroke and Cardiovascular Disease Prevention Need to be Revised at This Time
Jabri Hiba*
Department of Cardiology, University of Sydney, Australia
*Correspondence: Jabri Hiba, Department of Cardiology, University of Sydney, Australia, Email:

Received: 02-Jan-2023, Manuscript No. IPCIOA-23-15626; Editor assigned: 04-Jan-2023, Pre QC No. IPCIOA-23-15626 (PQ); Reviewed: 18-Jan-2023, QC No. IPCIOA-23-15626; Revised: 23-Jan-2023, Manuscript No. IPCIOA-23-15626 (R); Published: 30-Jan-2023, DOI: 10.36648/0976-8610.23.7.002


Various schemes have been proposed to improve stroke detection. Different scores predict the presence or absence of stroke to different degrees. Sudden facial weakness, drift and arm dysfunction. The most likely outcomes are speech to correctly identify a stroke case, with an increased probability of 5.5 if at least one of them is present. If all three are missing, the probability of a hit is reduced. Although these results are not ideal for diagnosing stroke, they are valuable in the acute setting because they are relatively quick and easy to evaluate. Warning Mnemonics signs of stroke appear FAST as recommended by the Department of Health and Human Services and Stroke Association, the American Stroke Association, the National Stroke Association, the Los Angeles Prehospital Stroke Screen and the Cincinnati Prehospital Stroke Scale. Use of these scales is recommended by professional guidelines. FAST is less reliable for diagnosing subsequent strokes. Vessels in the head and neck can also be examined for atherosclerotic lesions, which can benefit procedures such as carotid endarterectomy. Vascularity can be assessed using the following imaging tests: Magnetic Resonance Angiography (MRA), CT angiography, and carotid/ transcranial Doppler ultrasound. Carotid ultrasound is commonly used to screen for carotid stenosis because it is more accessible, noninvasive, and does not expose the person being examined to radiation. However, all of the above imaging modalities have different sensitivities and specificities, so it is important to combine one imaging modality with another to confirm the diagnosis. Confirming the diagnosis of carotid stenosis is important because treating it A carotid artery endarterectomy can pose serious risks to the patient, including heart attack and stroke after the procedure. The Preventive Services Task Force “does not recommend screening for asymptomatic carotid stenosis in the general adult population.” This recommendation applies to asymptomatic patients and therefore does not necessarily apply to patients with TIA, as they may actually be a symptom of the underlying carotid disease. Therefore, patients who have had a TIA can discuss the risks and benefits with their doctor. Screening for carotid stenosis, including the risk of surgery for this condition. C-reactive protein and interleukin 6: C-reactive protein is one of the plasma proteins known as acute phase proteins and is produced by the liver. CRP levels rise in response to inflammation in various parts of the body, including vasculitis. CRP levels can increase up to 1,000-fold in response to inflammation. Others claim that can lead to significant changes in CRP levels, for example in infections, trauma, surgeries, burns, inflammation and advanced cancers. Moderate changes may also occur after strenuous exercise, heat stroke, and childbirth. Elevated levels of CRP, as measured by the CRP test or the more sensitive serum CRP test, are strongly associated with an increased risk of silent stroke. Interleukin-6 is an interleukin produced by T cells, macrophages and endothelial cells. IL6 is also classified as a cytokine. IL6 is involved in regulating the acute phase response to injury and infection and may have both anti-inflammatory and pro-inflammatory effects. The more sensitive serum CRP test, measured with the IL6-ELISA, is markers for an increased risk of silent stroke.



Conflict of Interest

The authors declare that they have no conflict of interest.

Citation: Hiba J (2023) Guidelines for Primary Stroke and Cardiovascular Disease Prevention Need to be Revised at this Time. Cardiovasc Investig. 7:002.

Copyright: © 2023 Hiba J. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited